NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?
Correct Answer: C
Rationale: Following familiar bedtime rituals helps preschoolers feel secure and promotes sleep. The other options may increase anxiety or overstimulation, hindering sleep. Basic Care and Comfort
Question 2 of 5
The nurse caring for a client with Meniere's syndrome can help minimize attacks by teaching the client to limit her dietary intake of:
Correct Answer: D
Rationale: Meniere's syndrome is associated with fluid retention in the inner ear, and limiting salt intake helps reduce fluid buildup, minimizing attack frequency.
Question 3 of 5
The nurse caring for a client with iron deficiency has reiterated dietary teaching of foods high in iron. The nurse recognizes that teaching has been effective when the client selects which meal plan?
Correct Answer: B
Rationale: This selection is the one with the highest iron content. Other foods high in iron include Cream of Wheat, oatmeal, liver, collard greens, mustard greens, clams, chili with beans, brown rice, and dried apricots. Answers A, C, and D are not high in iron.
Question 4 of 5
An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight change at 6 months of age?
Correct Answer: A
Rationale: Double the birth weight. Although growth rates vary, infants normally double their birth weight by 6 months.
Question 5 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.